Ticket for Outdoor Patient
| Ward No. 15 | U-PHC No. | Registration No. 10076 | Date 22/08/2023 |
| Token No | SM/22-23/11825 22/08/2023 | Serial | 004 |
| Patient Name | Mr. SHUVOJIT BHADURI | Contact No | 6291325532 |
| Address | 115 G T ROAD MANIKTALA | Age | 32 YRS Male |
| Token For | Visit Doctor,Pathology Test | Charge | Free |
| B.P | mmHg | Weight | KG |
| Pulse Rate | / min | Height | cm |
| Diagnosis | |||